SIMPLIFIER.NET - FHIRPath Playground

FHIRPath

If you Log in or sign up, you can edit this script yourself.

name

{
  "resourceType": "ImplementationGuide",
  "id": "hl7.fhir.us.davinci-pct.r4b",
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>PatientCostTransparency</h2><p>The official URL for this implementation guide is: </p><pre>http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct</pre><div><p>To support the request for cost information for specific services and items from the payer and return them in near real-time to allow effective decision making by the patient in consultation with the 'ordering' provider.</p>\n</div></div>"
  },
  "url": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct",
  "version": "1.0.0",
  "name": "PatientCostTransparency",
  "title": "Patient Cost Transparency Implementation Guide",
  "status": "active",
  "date": "2023-03-30T13:34:22+00:00",
  "publisher": "HL7 International - Financial Management Work Group",
  "contact": [
    {
      "name": "HL7 International - Financial Management Work Group",
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fmlists@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "To support the request for cost information for specific services and items from the payer and return them in near real-time to allow effective decision making by the patient in consultation with the 'ordering' provider.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "packageId": "hl7.fhir.us.davinci-pct.r4b",
  "license": "CC0-1.0",
  "fhirVersion": [
    "4.3.0"
  ],
  "dependsOn": [
    {
      "id": "hl7tx",
      "extension": [
        {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
          "valueMarkdown": "Automatically added as a dependency - all IGs depend on HL7 Terminology"
        }
      ],
      "uri": "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
      "packageId": "hl7.terminology.r4",
      "version": "5.0.0"
    },
    {
      "id": "hl7_fhir_us_core",
      "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core",
      "packageId": "hl7.fhir.us.core",
      "version": "3.1.1"
    },
    {
      "id": "hl7_fhir_us_davinci_hrex",
      "uri": "http://hl7.org/fhir/us/davinci-hrex/ImplementationGuide/hl7.fhir.us.davinci-hrex",
      "packageId": "hl7.fhir.us.davinci-hrex",
      "version": "1.0.0"
    }
  ],
  "definition": {
    "extension": [
      {
        "extension": [
          {
            "url": "code",
            "valueString": "copyrightyear"
          },
          {
            "url": "value",
            "valueString": "2023+"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "releaselabel"
          },
          {
            "url": "value",
            "valueString": "STU 1"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "show-inherited-invariants"
          },
          {
            "url": "value",
            "valueString": "false"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-history"
          },
          {
            "url": "value",
            "valueString": "http://hl7.org/fhir/us/davinci-pct/history.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "autoload-resources"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-liquid"
          },
          {
            "url": "value",
            "valueString": "template/liquid"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-liquid"
          },
          {
            "url": "value",
            "valueString": "input/liquid"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-qa"
          },
          {
            "url": "value",
            "valueString": "temp/qa"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-temp"
          },
          {
            "url": "value",
            "valueString": "temp/pages"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-output"
          },
          {
            "url": "value",
            "valueString": "output"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "path-suppressed-warnings"
          },
          {
            "url": "value",
            "valueString": "input/ignoreWarnings.txt"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "template-html"
          },
          {
            "url": "value",
            "valueString": "template-page.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "template-md"
          },
          {
            "url": "value",
            "valueString": "template-page-md.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-contact"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-context"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-copyright"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-jurisdiction"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-license"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-publisher"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "apply-version"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "active-tables"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "fmm-definition"
          },
          {
            "url": "value",
            "valueString": "http://hl7.org/fhir/versions.html#maturity"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "propagate-status"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "excludelogbinaryformat"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueString": "tabbed-snapshots"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "copyrightyear"
          },
          {
            "url": "value",
            "valueString": "2023+"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "releaselabel"
          },
          {
            "url": "value",
            "valueString": "STU 1"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "show-inherited-invariants"
          },
          {
            "url": "value",
            "valueString": "false"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-history"
          },
          {
            "url": "value",
            "valueString": "http://hl7.org/fhir/us/davinci-pct/history.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "autoload-resources"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-liquid"
          },
          {
            "url": "value",
            "valueString": "template/liquid"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-liquid"
          },
          {
            "url": "value",
            "valueString": "input/liquid"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-qa"
          },
          {
            "url": "value",
            "valueString": "temp/qa"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-temp"
          },
          {
            "url": "value",
            "valueString": "temp/pages"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-output"
          },
          {
            "url": "value",
            "valueString": "output"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "path-suppressed-warnings"
          },
          {
            "url": "value",
            "valueString": "input/ignoreWarnings.txt"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "template-html"
          },
          {
            "url": "value",
            "valueString": "template-page.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "template-md"
          },
          {
            "url": "value",
            "valueString": "template-page-md.html"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-contact"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-context"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-copyright"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-jurisdiction"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-license"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-publisher"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "apply-version"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "active-tables"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "fmm-definition"
          },
          {
            "url": "value",
            "valueString": "http://hl7.org/fhir/versions.html#maturity"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "propagate-status"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "excludelogbinaryformat"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      },
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "tabbed-snapshots"
          },
          {
            "url": "value",
            "valueString": "true"
          }
        ],
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
      }
    ],
    "resource": [
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-aeob-adjudication-error"
        },
        "name": "PCT AEOB Adjudication Error",
        "description": "OperationOutcome returned from the gfeSubmit operation when there are adjudication errors during AEOB processing",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-aeob-complete"
        },
        "name": "PCT AEOB Complete",
        "description": "OperationOutcome returned from the gfeSubmit operation when the AEOB process is complete but no AEOB will be returned to the submitter (i.e. it was sent only to the patient)",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-gfe-validation-error"
        },
        "name": "PCT GFE Validation Error",
        "description": "OperationOutcome returned from the gfeSubmit operation when the GFE Bundle fails FHIR validation",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-aeob-bundle"
        },
        "name": "PCT AEOB Bundle",
        "description": "PCT AEOB Bundle that contains necessary resources for an AEOBs. Organizations for both the payer and provider SHALL be included.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-aeob"
        },
        "name": "PCT Advanced EOB",
        "description": "The No Surprises Act requires that group health plans and insurers provide advance cost estimates, called advanced explanations of benefits (advanced EOBs), for scheduled services. This profile is used for exchanging the Advanced EOB data.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-coverage"
        },
        "name": "PCT Coverage",
        "description": "PCT Coverage is a profile for capturing data that reflect a payer’s coverage that was effective as of the proposed date of service or the date of admission of the GFE.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-gfe-bundle"
        },
        "name": "PCT GFE Bundle",
        "description": "PCT GFE Bundle that contains necessary resources as a GFE Submission for obtaining an AEOB. Organizations for both the provider and payer SHALL be included. The scope of this guide does not include coordination of benefits or more than one coverage. This does not serve as a replacement for eligibility, prior authorization or other financial and administrative use cases.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-gfe-institutional"
        },
        "name": "PCT Good Faith Estimate Institutional",
        "description": "PCT Good Faith Estimate Institutional is a profile for capturing submission data needed to be processed by a payer for the creation of an Advanced EOB. This profile is used for an institutional GFE submission.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-gfe-professional"
        },
        "name": "PCT Good Faith Estimate Professional",
        "description": "PCT Good Faith Estimate Professional is a profile for capturing submission data needed to be processed by a payer for the creation of an Advanced EOB. This profile is used for a professional GFE submission.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-organization"
        },
        "name": "PCT Organization",
        "description": "The PCT Organization profile builds upon the US Core Organization profile. It is used to convey a payer, provider, payee, or service facility organization.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/davinci-pct-practitioner"
        },
        "name": "PCT Practitioner",
        "description": "The PCT Practitioner profile builds upon the US Core Practitioner profile. It is used to convey information about the practitioner who will be providing services to the patient as described on the GFE.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/countrySubdivisionCode"
        },
        "name": "CountrySubdivisionCode",
        "description": "This extension is used to provide the Country Subdivision Code - from Part 2 of ISO 3166.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeBillingProviderLineItemCtrlNum"
        },
        "name": "GFEBillingProviderLineItemCtrlNum",
        "description": "This extension is used by the provider to assign a unique identifier to this item. The intent of this element is to allow the provider to assign something other than 'line number' for their purposes (e.g. tracking and troubleshooting).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeConsentForBalanceBilling"
        },
        "name": "GFEConsentForBalanceBilling",
        "description": "If the provider has received a written consent form indicating a patient has agreed to waive their protections and pay up to the full cost for the out-of-network item or service, this will be “true”. If the provider has not received written consent, this will be “false”. This is an attestation only. The billing provider is legally required to maintain the written notice and consent form.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeDisclaimer"
        },
        "name": "GFEDisclaimer",
        "description": "Disclaimers the patient should be made aware of regarding the providers estimate",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeReference"
        },
        "name": "GFE Reference",
        "description": "This extension is used to reference the GFE submitted by an entity that started the process for obtaining an Advanced EOB.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeServiceLinkingInfo"
        },
        "name": "GFEServiceLinkingInfo",
        "description": "This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/gfeSubmitter"
        },
        "name": "GFESubmitter",
        "description": "This extension is used to indicate the scheduling entity that submits the GFE to provide a collection of services to a payer for the creation of an Advanced EOB. All submitters (Practitioners and Organizations) must have an ETIN.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/inNetworkProviderOptionsLink"
        },
        "name": "In Network Provider Options Link",
        "description": "This extension provides a payer link to information enabling the patient to find providers that are in network for the requested services.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/endpoint"
        },
        "name": "PCTEndpoint",
        "description": "This extension is used to provide an endpoint.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/processNoteClass"
        },
        "name": "ProcessNote Class",
        "description": "This extension is used to indicate a the class of AEOB Claim process notes",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/providerEventMethodology"
        },
        "name": "ProviderEventMethodology",
        "description": "This extension is used for indicating the method a provider used to group services, and those providing such services, beyond what may be indicated through DRGs that the payer or patient may find helpful (e.g. grouping services by a standardized episode of care definition). This is provider generated text and should not be modified by the payer.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/providerTaxonomy"
        },
        "name": "ProviderTaxonomy",
        "description": "This extension is used to indicate the taxonomy code of the provider.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/referralNumber"
        },
        "name": "ReferralNumber",
        "description": "This extension is used to provide the Referral Number.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/serviceDescription"
        },
        "name": "Service Description",
        "description": "This extension is used to communicate a plain language description of the procedure, product, or service.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/subjectToMedicalMgmt"
        },
        "name": "Subject To Medical Management",
        "description": "This extension is used to provide a reason to explain how the estimate may change subject to medical management.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/AHANUBCPointOfOriginVS"
        },
        "name": "NUBC Point Of Origin",
        "description": "The UB-04 Data File contains the complete set of NUBC codes. Every code in the range of possible codes is accounted for sequentially. \n\nThere are no gaps because all used and unused codes are identified. This value set consists of the following: \n* FL 15 - Point of Origin for Admission or Visit for Non-newborn\n* FL 15 - Point of Origin for Admission or Visit for Newborn\n\nThese codes are used to convey the patient point of origin for an admission or visit and are the property of the American Hospital Association.\n\nTo obtain the underlying code systems, please see information [here](https://www.nubc.org/subscription-information)\nStatement of Understanding between AHA and HL7 can be found [here](http://www.hl7.org/documentcenter/public/mou/AHA%20HL7%20SOU%202020%20AHA%20Fully%20Executed.pdf). In particular see sections 4.1d and 4.2.\n\nThe UB-04 Manual has a 12-month subscription period from June 30 through July 1.\n\nFor frequently asked questions, see here [here](https://www.nubc.org/nubc-faqs)",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisitVS"
        },
        "name": "NUBC Priority (Type) of Admission or Visit",
        "description": "The UB-04 Data File contains the complete set of NUBC codes. Every code in the range of possible codes is accounted for sequentially. There are no gaps because all used and unused codes are identified.\n\nThis value set consists of the following:\n\n* FL 14 - Priority (Type) of Admission or Visit\n\nThese codes are used to convey the priority of an admission or visit and are the property of the American Hospital Association.\n\nTo obtain the underlying code systems, please see information [here](https://www.nubc.org/subscription-information)\n\nStatement of Understanding between AHA and HL7 can be found [here](http://www.hl7.org/documentcenter/public/mou/AHA%20HL7%20SOU%202020%20AHA%20Fully%20Executed.pdf). In particular see sections 4.1d and 4.2.\n\nThe UB-04 Manual has a 12-month subscription period from June 30 through July 1.\n\nFor frequently asked questions, see here [here](https://www.nubc.org/nubc-faqs)\n\nThis Code system is referenced in the content logical definition of the following value sets:\n\nThis CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)\n\nThis code system https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit defines many codes, but they are not represented here",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/ICD10ProcedureCodes"
        },
        "name": "ICD-10 Procedure Codes",
        "description": "Procedure Codes from https://www.cms.gov/Medicare/Coding/ICD10",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTAEOBProcessNoteVS"
        },
        "name": "PCT AEOB Process Note Types",
        "description": "Indicates the type of .processNote for AEOB.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTAEOBTypeVS"
        },
        "name": "PCT Advance Explanation of Benefit Type Value Set",
        "description": "Codes to specify the type of AEOB",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTAdjudication"
        },
        "name": "PCT Adjudication Value Set",
        "description": "Describes the various amount fields used when payers receive and adjudicate a claim.  It includes the values \ndefined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTAdjudicationCategoryVS"
        },
        "name": "PCT GFE Item Adjudication Value Set",
        "description": "Value Set containing codes for the type of adjudication information provided.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTAdjustmentReasonVS"
        },
        "name": "PCT Adjustment Reason",
        "description": "Codes indicating reasons why a claim or line item is adjusted.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTBenefitBalanceCategoryVS"
        },
        "name": "PCT benefitBalance.category codes",
        "description": "Category codes for PCT benefitBalance.category from X12 service type.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTCareTeamRoleVS"
        },
        "name": "PCT Care Team Role Value Set",
        "description": "Codes to specify the the functional roles of the care team members.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTDiagnosisTypeVS"
        },
        "name": "PCT Diagnosis Type Value Set",
        "description": "Codes to specify the type of diagnosis",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTDiagnosticCodes"
        },
        "name": "PCT ICD-10 Diagnostic Codes",
        "description": "ICD-10 Codes to specify the type of diagnosis",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTFinancialTypeVS"
        },
        "name": "PCT Financial Type Value Set",
        "description": "Financial Type codes for benefitBalance.financial.type.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFECMSPOS"
        },
        "name": "PCT GFE CMS Place of Service Value Set",
        "description": "CMS Place of Service codes",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFEFrequencyVS"
        },
        "name": "PCT GFE Frequency Code Value Set",
        "description": "These codes in this value set are derived from the NUBC Uniform Billing (UB-04) Type of Bill (TOB) codes.  The fourth digit of the TOB code defines the frequency of the bill for the institutional and electronic professional claim.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFEItemCptHcpcsVS"
        },
        "name": "PCT GFE Item CPT - HCPCS Value Set",
        "description": "CPT - HCPCS codes to report medical procedures and services under public and private health insurance programs",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFEItemNDCVS"
        },
        "name": "PCT GFE Item NDC Value Set",
        "description": "The FDA published list of NDC codes for finished drug products",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFEItemRevenueVS"
        },
        "name": "PCT GFE NUBC Revenue Value Set",
        "description": "NUBC UB-04 Revenue codes",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTGFETypeOfBillVS"
        },
        "name": "PCT GFE NUBC Uniform Billing (UB-04) Type of Bill Value Set",
        "description": "NUBC Uniform Billing (UB-04) codes to indicate the specific Type of Bill (TOB), e.g., hospital inpatient, outpatient, replacements, voids, etc. The first digit is a leading zero*. The fourth digit defines the frequency of the bill for the institutional and electronic professional claim.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTOrgContactPurposeTypeVS"
        },
        "name": "PCT Organization Contact Purpose Value Set - locally defined for testing purpose; an external FHIR value set will be created through the HL7 Terminology (THO) process to replace this value set",
        "description": "Codes for the classification of organization contact purposes",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTOrgIdentifierTypeVS"
        },
        "name": "PCT Organization Identifier Type Value Set - locally defined for testing purpose; an external FHIR value set will be created through the HL7 Terminology (THO) process to replace this value set",
        "description": "Codes to specify the type of identifiers for organizations to indicate usage for a specific purpose",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTOrganizationTypeVS"
        },
        "name": "PCT Organization Type Value Set - locally defined for testing purpose; an external FHIR value set will be created through the HL7 Terminology (THO) process to replace this value set",
        "description": "Codes to specify the type of entity involved in the PCT GFE process",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTPayerBenefitPaymentStatusVS"
        },
        "name": "PCT Payer Benefit Payment Status",
        "description": "Indicates the in network or out of network payment status of the claim or line item.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTPayerProviderNetworkStatusVS"
        },
        "name": "PCT Payer Provider Network Status",
        "description": "Indicates the Provider network status with the Payer as of the effective date of service or admission.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTProcedureSurgicalCodes"
        },
        "name": "PCT CMS HCPCS and AMA CPT Procedure Surgical Codes",
        "description": "Combination of CMS HCPCS and AMA CPT codes to specify the type of surgical procedure",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTProcedureTypeVS"
        },
        "name": "PCT Procedure Type Value Set",
        "description": "Codes to specify the type of procedure",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTSubjectToMedicalMgmtReasonVS"
        },
        "name": "PCT Subject-To-Medical-Management Reason Value Set",
        "description": "Codes for the classification of subject-to-medical-management reasons",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/PCTSupportingInfoTypeVS"
        },
        "name": "PCT Supporting Info Type Value Set",
        "description": "Codes to specify the type of the supplied supporting information",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/USClaimDRGCodes"
        },
        "name": "US Claim DRG Codes",
        "description": "US Claim Diagnosis Related Group Codes. All codes from MS-DRGs - AP-DRGs - APR-DRGs",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/USClaimMedicalProductOrServiceCodes"
        },
        "name": "Claim Medical Product or Service Value Set",
        "description": "CPT - HCPCS - HIPPS codes to report medical procedures and services under public and private health insurance programs",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTAEOBProcessNoteCS"
        },
        "name": "PCT AEOB Process Note Code System",
        "description": "Defining codes for process notes. This is for trial use.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTAdjudication"
        },
        "name": "PCT Adjudication Code System",
        "description": "Describes the various amount fields used when payers receive and adjudicate a claim.  It complements the values defined in http://terminology.hl7.org/CodeSystem/adjudication.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTAdjudicationCategoryCS"
        },
        "name": "PCT Adjudication Category CodeSystem",
        "description": "Codes indicating the type of adjudication information provided.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTCareTeamRole"
        },
        "name": "PCT Care Team Role",
        "description": "PCT code system for defining the functional roles of the care team members.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTDiagnosisType"
        },
        "name": "PCT Diagnosis Type",
        "description": "Defining codes for the classification of diagnosis types",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTFinancialType"
        },
        "name": "PCT Financial Type Code System",
        "description": "Financial Type codes for benefitBalance.financial.type.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTGFEFrequency"
        },
        "name": "PCT GFE Frequency Code System",
        "description": "These codes are derived from the NUBC Uniform Billing (UB-04) Type of Bill (TOB) codes.  The fourth digit of the TOB code defines the frequency of the bill for the institutional and electronic professional claim.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTIdentifierType"
        },
        "name": "PCT Identifier Type",
        "description": "Defining codes for types of identifiers",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTNetworkStatusCS"
        },
        "name": "PCT Network Status",
        "description": "Defining codes for network status. This is for trial use.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTOrgContactPurposeType"
        },
        "name": "PCT Organization Contact Purpose Type Code System",
        "description": "Organization Contact Purpose Type Code System",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTOrgIdentifierTypeCS"
        },
        "name": "PCT Organization Identifier Type Code System",
        "description": "Identifier Type codes for defining the type of identifier payers and providers assign to organizations",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTProcedureType"
        },
        "name": "PCT Procedure Type",
        "description": "Defining codes for the classification of procedure types",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTSubjectToMedicalMgmtReasonCS"
        },
        "name": "PCT Subject-To-Medical-Management Reason Code System",
        "description": "Defining codes for the classification of subject-to-medical-management reason types",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/PCTSupportingInfoType"
        },
        "name": "PCT GFE Supporting Info Type Code System",
        "description": "Defining codes for the classification of the supplied supporting information",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "OperationDefinition"
          }
        ],
        "reference": {
          "reference": "OperationDefinition/GFE-submit"
        },
        "name": "GFESubmitOperation",
        "description": "This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The only output is a url for subsequent polling per [async pattern](http://build.fhir.org/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient and not to the provider.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ExplanationOfBenefit"
          }
        ],
        "reference": {
          "reference": "ExplanationOfBenefit/PCT-AEOB-1"
        },
        "name": "PCT-AEOB-1",
        "description": "An instance of the PCTAdvancedEOB Profile",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "OperationOutcome"
          }
        ],
        "reference": {
          "reference": "OperationOutcome/PCT-AEOB-Adjudication-Error-Example-1"
        },
        "name": "PCT-AEOB-Adjudication-Error-Example-1",
        "description": "PCT AEOB Adjudication Error Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-adjudication-error"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Bundle"
          }
        ],
        "reference": {
          "reference": "Bundle/PCT-AEOB-Bundle-1"
        },
        "name": "PCT-AEOB-Bundle-1",
        "description": "PCT AEOB Bundle Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-bundle"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "OperationOutcome"
          }
        ],
        "reference": {
          "reference": "OperationOutcome/PCT-AEOB-Complete-Example-1"
        },
        "name": "PCT-AEOB-Complete-Example-1",
        "description": "PCT AEOB Complete Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-complete"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Bundle"
          }
        ],
        "reference": {
          "reference": "Bundle/PCT-GFE-Bundle-Inst-1"
        },
        "name": "PCT-GFE-Bundle-Inst-1",
        "description": "PCT GFE Bundle Institutional Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Bundle"
          }
        ],
        "reference": {
          "reference": "Bundle/PCT-GFE-Bundle-Prof-1"
        },
        "name": "PCT-GFE-Bundle-Prof-1",
        "description": "PCT GFE Bundle Professional Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Claim"
          }
        ],
        "reference": {
          "reference": "Claim/PCT-GFE-Institutional-1"
        },
        "name": "PCT-GFE-Institutional-1",
        "description": "PCT Institutional GFE Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Claim"
          }
        ],
        "reference": {
          "reference": "Claim/PCT-GFE-Institutional-MRI"
        },
        "name": "PCT-GFE-Institutional-MRI",
        "description": "PCT Institutional GFE for MRI",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Claim"
          }
        ],
        "reference": {
          "reference": "Claim/PCT-GFE-Professional-MRI"
        },
        "name": "PCT-GFE-Professional-MRI",
        "description": "PCT Professional GFE Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "OperationOutcome"
          }
        ],
        "reference": {
          "reference": "OperationOutcome/PCT-GFE-Validation-Error-Example-1"
        },
        "name": "PCT-GFE-Validation-Error-Example-1",
        "description": "PCT GFE Validation Error Example 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-validation-error"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/Submitter-Org-1"
        },
        "name": "Submitter-Org-1",
        "description": "Institutional GFE Submitter 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/Submitter-Practitioner-1"
        },
        "name": "Submitter-Practitioner-1",
        "description": "Professional GFE Submitter 1",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "SearchParameter"
          }
        ],
        "reference": {
          "reference": "SearchParameter/aeob-date-of-service"
        },
        "name": "aeob-date-of-service",
        "description": "Select planned date of service",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Contract"
          }
        ],
        "reference": {
          "reference": "Contract/contract1001"
        },
        "name": "contract1001",
        "description": "An instance of Contract",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Coverage"
          }
        ],
        "reference": {
          "reference": "Coverage/coverage1001"
        },
        "name": "coverage1001",
        "description": "An instance of PCTCoverage",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CapabilityStatement"
          }
        ],
        "reference": {
          "reference": "CapabilityStatement/davinci-pct"
        },
        "name": "davinci-pct",
        "description": "Capability statement for the Da Vinci Patient Cost Transparency Implementation Guide",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Endpoint"
          }
        ],
        "reference": {
          "reference": "Endpoint/endpoint001"
        },
        "name": "endpoint001",
        "description": "An instance of Endpoint",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/org1001"
        },
        "name": "org1001",
        "description": "An instance of PCTOrganization as a payer",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/org1002"
        },
        "name": "org1002",
        "description": "An instance of PCTOrganization as a healthcare provider",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/patient1001"
        },
        "name": "patient1001",
        "description": "An instance of Patient",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/prac001"
        },
        "name": "prac001",
        "description": "An instance of PCTPractitioner",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/prac002"
        },
        "name": "prac002",
        "description": "An instance of PCTPractitioner",
        "exampleCanonical": "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner"
      }
    ],
    "page": {
      "extension": [
        {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "toc.html"
        }
      ],
      "nameUrl": "toc.html",
      "title": "Table of Contents",
      "generation": "html",
      "page": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "index.html"
            }
          ],
          "nameUrl": "index.html",
          "title": "Patient Cost Transparency Implementation Guide Home Page",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "use_cases.html"
            }
          ],
          "nameUrl": "use_cases.html",
          "title": "Use Cases and Overview",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "underlying_technologies.html"
            }
          ],
          "nameUrl": "underlying_technologies.html",
          "title": "Technical Background and Underlying Technologies",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "formal_specification.html"
            }
          ],
          "nameUrl": "formal_specification.html",
          "title": "Formal Specification",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "terminology_licensure.html"
            }
          ],
          "nameUrl": "terminology_licensure.html",
          "title": "Terminology Licensure",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "security.html"
            }
          ],
          "nameUrl": "security.html",
          "title": "Security",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "downloads.html"
            }
          ],
          "nameUrl": "downloads.html",
          "title": "Downloads",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "change_log.html"
            }
          ],
          "nameUrl": "change_log.html",
          "title": "Change Log",
          "generation": "markdown"
        }
      ]
    },
    "parameter": [
      {
        "code": "path-resource",
        "value": "input/capabilities"
      },
      {
        "code": "path-resource",
        "value": "input/examples"
      },
      {
        "code": "path-resource",
        "value": "input/extensions"
      },
      {
        "code": "path-resource",
        "value": "input/models"
      },
      {
        "code": "path-resource",
        "value": "input/operations"
      },
      {
        "code": "path-resource",
        "value": "input/profiles"
      },
      {
        "code": "path-resource",
        "value": "input/resources"
      },
      {
        "code": "path-resource",
        "value": "input/vocabulary"
      },
      {
        "code": "path-resource",
        "value": "input/maps"
      },
      {
        "code": "path-resource",
        "value": "input/testing"
      },
      {
        "code": "path-resource",
        "value": "input/history"
      },
      {
        "code": "path-resource",
        "value": "fsh-generated/resources"
      },
      {
        "code": "path-pages",
        "value": "template/config"
      },
      {
        "code": "path-pages",
        "value": "input/images"
      },
      {
        "code": "path-tx-cache",
        "value": "input-cache/txcache"
      }
    ]
  }
}

name : PatientCostTransparency

{

}